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Contact Information

JOKETHA F ROSS, RN-BSN
224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM88103
 Phone: 575-904-4282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for JOKETHA F ROSS · (Female)

NPI Number 1720814809
Status Active
Credentials RN-BSN
Entity Individual
Enumeration date 09/13/2024
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 78308
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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